| Nickholas Grant, PHD | |
|
6222 Avalon Dr W, Orange, CT 06477-3684 | |
| (203) 701-6047 | |
| Not Available |
| Full Name | Nickholas Grant |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 6 Years |
| Location | 6222 Avalon Dr W, Orange, Connecticut |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336967264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 4836 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Neuropsychology Llc | 3375602931 | 16 |
| Entity Name | Northeast Neuropsychology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396991956 PECOS PAC ID: 3375602931 Enrollment ID: O20081111000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Nickholas Grant, PHD 2389 Main St Ste 100, Glastonbury, CT 06033-4617 Ph: Not Available | Nickholas Grant, PHD 6222 Avalon Dr W, Orange, CT 06477-3684 Ph: (203) 701-6047 |
Dr. Alexis Diana Grant, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Edison Rd, Orange, CT 06477 Phone: 973-214-1951 |
Eric D Jackson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35 Old Tavern Rd, Suite 103, Orange, CT 06477 Phone: 203-701-9666 |
Helen Sackler, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 370 Boston Post Rd Ste 3, Orange, CT 06477 Phone: 203-988-1915 Fax: 203-298-4563 |
Dr. Melanie Watkins Fischer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Edison Rd, Orange, CT 06477 Phone: 203-508-7723 |
Dr. Judy Lynne Perlman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 378 Boston Post Rd, Orange, CT 06477 Phone: 203-799-0845 Fax: 203-397-9518 |
Jamsine Ramirez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 208 Derby Ave, Orange, CT 06477 Phone: 860-613-9930 |
Dr. Meagan Marie Carr, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Edison Rd, Orange, CT 06477 Phone: 862-202-1555 |